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Outcome of scleral buckling with or without gas tamponade for recurrent retinal detachment in post-vitrectomy eyes

BACKGROUND: Treatment of recurrent retinal detachment (re-RD) following vitrectomy (post-gas/air tamponade and post-silicone oil removal) is challenging. Previously reported treatment is commonly revision pars plana vitrectomy (PPV) combined with tamponade, which is invasive and a burden both econom...

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Autores principales: Bai, Jun-Xing, Zhang, Xiao-Jian, Duan, An-Li, Peng, Xiao-Yan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7916288/
https://www.ncbi.nlm.nih.gov/pubmed/33639899
http://dx.doi.org/10.1186/s12886-021-01873-y
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author Bai, Jun-Xing
Zhang, Xiao-Jian
Duan, An-Li
Peng, Xiao-Yan
author_facet Bai, Jun-Xing
Zhang, Xiao-Jian
Duan, An-Li
Peng, Xiao-Yan
author_sort Bai, Jun-Xing
collection PubMed
description BACKGROUND: Treatment of recurrent retinal detachment (re-RD) following vitrectomy (post-gas/air tamponade and post-silicone oil removal) is challenging. Previously reported treatment is commonly revision pars plana vitrectomy (PPV) combined with tamponade, which is invasive and a burden both economically and emotionally when compared with scleral buckling (SB). The purpose of this study is to report anatomical and functional outcomes of SB with or without gas tamponade in eyes with recurrent retinal detachment (re-RD) that previously underwent PPV at least once. METHODS: We retrospectively reviewed the medical records of 14 patients (14 eyes) who underwent PPV at least once and were treated with SB after re-RD. Preoperative characteristics, intraoperative complications, and postoperative data were assessed. The final anatomical and functional outcomes were analyzed. RESULTS: The original PPV was performed for primary rhegmatogenous retinal detachment in 11 eyes, macular hole retinal detachment in 2 eyes, and myopic foveoschisis in 1 eye. Previously, 3 eyes underwent one PPV with gas tamponade, and the remaining 11 (79%) eyes underwent 2–5 operations. Seven eyes underwent the procedure with gas injection. At the last follow-up, 13 eyes achieved total retinal attachment and 1 eye had re-RD. The postoperative intraocular pressure was within the normal range, except in 1 eye (6 mmHg). The finest postoperative best-corrected visual acuity (BCVA) was 20/25. There was a significant improvement in BCVA from 20/160 ± 20/63 at baseline to 20/80 ± 20/50 at the last visit in the 13 successfully treated eyes (P = 0.025). CONCLUSIONS: SB can be effective for re-RD after PPV in specific cases.
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spelling pubmed-79162882021-03-02 Outcome of scleral buckling with or without gas tamponade for recurrent retinal detachment in post-vitrectomy eyes Bai, Jun-Xing Zhang, Xiao-Jian Duan, An-Li Peng, Xiao-Yan BMC Ophthalmol Research Article BACKGROUND: Treatment of recurrent retinal detachment (re-RD) following vitrectomy (post-gas/air tamponade and post-silicone oil removal) is challenging. Previously reported treatment is commonly revision pars plana vitrectomy (PPV) combined with tamponade, which is invasive and a burden both economically and emotionally when compared with scleral buckling (SB). The purpose of this study is to report anatomical and functional outcomes of SB with or without gas tamponade in eyes with recurrent retinal detachment (re-RD) that previously underwent PPV at least once. METHODS: We retrospectively reviewed the medical records of 14 patients (14 eyes) who underwent PPV at least once and were treated with SB after re-RD. Preoperative characteristics, intraoperative complications, and postoperative data were assessed. The final anatomical and functional outcomes were analyzed. RESULTS: The original PPV was performed for primary rhegmatogenous retinal detachment in 11 eyes, macular hole retinal detachment in 2 eyes, and myopic foveoschisis in 1 eye. Previously, 3 eyes underwent one PPV with gas tamponade, and the remaining 11 (79%) eyes underwent 2–5 operations. Seven eyes underwent the procedure with gas injection. At the last follow-up, 13 eyes achieved total retinal attachment and 1 eye had re-RD. The postoperative intraocular pressure was within the normal range, except in 1 eye (6 mmHg). The finest postoperative best-corrected visual acuity (BCVA) was 20/25. There was a significant improvement in BCVA from 20/160 ± 20/63 at baseline to 20/80 ± 20/50 at the last visit in the 13 successfully treated eyes (P = 0.025). CONCLUSIONS: SB can be effective for re-RD after PPV in specific cases. BioMed Central 2021-02-27 /pmc/articles/PMC7916288/ /pubmed/33639899 http://dx.doi.org/10.1186/s12886-021-01873-y Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Bai, Jun-Xing
Zhang, Xiao-Jian
Duan, An-Li
Peng, Xiao-Yan
Outcome of scleral buckling with or without gas tamponade for recurrent retinal detachment in post-vitrectomy eyes
title Outcome of scleral buckling with or without gas tamponade for recurrent retinal detachment in post-vitrectomy eyes
title_full Outcome of scleral buckling with or without gas tamponade for recurrent retinal detachment in post-vitrectomy eyes
title_fullStr Outcome of scleral buckling with or without gas tamponade for recurrent retinal detachment in post-vitrectomy eyes
title_full_unstemmed Outcome of scleral buckling with or without gas tamponade for recurrent retinal detachment in post-vitrectomy eyes
title_short Outcome of scleral buckling with or without gas tamponade for recurrent retinal detachment in post-vitrectomy eyes
title_sort outcome of scleral buckling with or without gas tamponade for recurrent retinal detachment in post-vitrectomy eyes
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7916288/
https://www.ncbi.nlm.nih.gov/pubmed/33639899
http://dx.doi.org/10.1186/s12886-021-01873-y
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